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Payers and Providers: 3 reasons to get together

July 11 2016 | by Rose Higgins in Health Analytics

"Two heads are better than one." It's a common axiom that is widely accepted.

Healthcare payers and providers, however, have traditionally been a bit reluctant to embrace the concept in the past, as they preferred to tread their own paths while working to improve care, enhance patient experiences and reduce costs.

Intuition vs. Analytics: Polar opposites or one and the same?

July 04 2016 | by David Hom in Health Analytics

Intuition is often thought of as a somewhat magical, innate personal quality that some people are born with – and others lack. When people make decisions based on intuition, we assume that they are moving forward based on some type of “gut feeling.” Analytics, on the other hand, is often thought of as hard science. When people make decisions based on analytics, they are moving forward based on data that has been scrutinized and studied, explored and examined – again and again.

Want to win the fight on fraud, waste and abuse? Get ready to go "all in"

June 27 2016 | by Rodger Smith in Payment Integrity

Healthcare fraud waste and abuse is big. As in hundreds of billions of dollars per year big. That’s why healthcare payers need to go big or go home in the fight against what’s become an unfortunate nemesis.




Arun Rangamani
VP, Payment Services Delivery Leader

Ben Steverman
Chief Technology Officer

David Hom
Chief Evangelist

Jodi Siegel, MSHI, BSN, RN (Guest Author)
Director, wellness and care management

John Pagliuca
Vice President, Life Sciences

Lalithya Yerramilli
VP, Healthcare Solutions

Lesli Adams, MPA (Guest Author)
Director of Population Health Strategy, Oracle Corporation

Linda Pantovic (Guest Author)
Director of Compliance & Risk Adjustment, Scripps Health Plan Services

Mark Feeney
Life Sciences Consultant

Monique Pierce
Vice President, Business Optimization

Nayfe Faillace
Chief Compliance & Privacy Officer

Nicole Stec (Guest Author)
Senior Well-Being Manager, Banner Health

Priyanka Rajkumar
VP - SCIOXpert and Solutions, Analytics

Rena Bielinski
SVP, Strategic Accounts

Rodger Smith
SVP, Payment Integrity

Rose Higgins
SVP & GM, Data and Analytics

Subha Vaidyanathan
VP, Technology and Data Management

Taryn Bevilacqua
Compliance Director


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